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Subject: Maternal health ×

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Now showing 1 - 9 of 9
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    Future health expenditure in the BRICS countries: a forecasting analysis for 2035
    (Journal of Global Health, 2023) Pragyan Monalisa Sahoo; Himanshu Sekhar Rout; Mihajlo Jakovljevic
    This study examined the health expenditure trend among the BRICS from 2000 to 2019 and made predictions with an emphasis on public, pre-paid, and out-of-pocket expenditures for 2035.
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    Assessing needs for interdisciplinarity in agriculture, nutrition, and health education
    (Global Food Security and Agriculture Policy, 2023) Reshma P. Roshania; Joe Yates; Lauren McIntyre; Tim Chancellor; Emily Fivian; Michael Hill; Rosemary Isoto; Pamela Marinda; Sudha Narayanan; Louise Whatford; Francis Zotor; Shweta Khandelwal
    The paper reports findings from a mixed-methods needs assessment designed to assess enabling and constraining factors to integrated agriculture, nutrition, and health education.
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    A cluster-randomized controlled trial to evaluate the effects of a simplified cardiovascular management program in Tibet, China and Haryana, India: study design and rationale
    (BMC Public Health, 2014) Vamadevan S. Ajay; Maoyi Tian; Hao Chen; Yangfeng Wu; Xian Li; Danzeng Dunzhu; Mohammed K. Ali; Nikhil Tandon; Anand Krishnan; Dorairaj Prabhakaran; Lijing L. Yan
    Background: In resource-poor areas of China and India, the cardiovascular disease burden is high, but availability of and access to quality healthcare is limited. Establishing a management scheme that utilizes the local infrastructure and builds healthcare capacity is essential for cardiovascular disease prevention and management. The study aims to develop, implement, and evaluate the feasibility and effectiveness of a simplified, evidence-based cardiovascular management program delivered by community healthcare workers in resource-constrained areas in Tibet, China and Haryana, India. Methods/design: This yearlong cluster-randomized controlled trial will be conducted in 20 villages in Tibet and 20 villages in Haryana. Randomization of villages to usual care or intervention will be stratified by country. High cardiovascular disease risk individuals (aged 40 years or older, history of heart disease, stroke, diabetes, or measured systolic blood pressure of 160 mmHg or higher) will be screened at baseline. Community health workers in the intervention villages will be trained to manage and follow up high-risk patients on a monthly basis following a simplified '2 + 2' intervention model involving two lifestyle recommendations and the appropriate prescription of two medications. A customized electronic decision support system based on the intervention strategy will be developed to assist the community health workers with patient management. Baseline and follow-up surveys will be conducted in a standardized fashion in all villages. The primary outcome will be the net difference between-group in the proportion of high-risk patients taking antihypertensive medication pre- and post-intervention. Secondary outcomes will include the proportion of patients taking aspirin and changes in blood pressure. Process and economic evaluations will also be conducted. Discussion: To our knowledge, this will be the first study to evaluate the effect of a simplified management program delivered by community health workers with the help of electronic decision support system on improving the health of high cardiovascular disease risk patients. If effective, this intervention strategy can serve as a model that can be implemented, where applicable, in rural China, India, and other resource-constrained areas.
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    Alleviating Adverse Implications of Soil Compaction and Stubble Burning on Sustainable Maize Production with 'Conservation Agriculture' Protocols
    (Int. J. Plant Prod., 2023) A. Ghosh; S. Ghosh; P. Faris
    Conventional farming traditionally followed in maize cultivation emerges as the cause of concern not only aggravating soil sickness, but also declining crop productivity, too. Substantial deterioration in soil health at the event of its structural disintegration upon usual tillage operation as well as organic matter depletion and en mass destruction of microbial population following in situ stubble burning appears to be a great challenge while prospecting sustainable maize production. Taking account this views, the current field study was conducted at the research farm, ICAR-Indian Agricultural Research Institute, New Delhi, India exploring the merits of 'Conservation Agriculture' (CA) protocols, viz. tillage and stubble residue management consecutively for three years (2017-2019). The study established the benefits of zero tillage supplemented with stubble residues consistently augmenting grain yield (6.82-7.12 t ha(-1)) over the years, which was significantly higher than other stands either with stubble residues at conventional tillage (6.10-6.25 t ha(-1)), or at ridge bed stands (6.58-6.80 t ha(-1)). While, traditional practice of stubble burning at all those tillage stands substantially declined grain yields producing 6.72-6.87 t ha(-1), 6.03-6.08 and 6.50-6.60 t ha(-1) respectively. Eventually, soil health improvement at zero tillage stands supplemented with stubble residues was also significantly pronounced more than other stands enhancing 2.1% soil porosity, 5.83% electrical conductivity, 8.91% hydraulic conductivity (HC), 24% available soil moisture, 3.77% soil organic carbon (SOC), 7.57% soil N, 2.53% P and 3.62% K content. Therefore, the study could recommend the stewardship of zero tillage supplemented with stubble residue retention alleviating soil health deterioration to foster sustainable maize production.
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    A Study on Economic Evaluation of an Outreach Health-Care Facility in Jhajjar District of Haryana: Service Delivery Model for Increasing Access to Health Care
    (Indian J. Public Health, 2021) Mohammad Kausar; Vijaydeep Siddharth; Shakti Kumar Gupta
    Background: An outreach (OR) health-care facility providing broad specialty outpatient services was started by All India Institute of Medical Sciences (AIIMS), New Delhi, in rural area of district Jhajjar, Haryana. Objectives: This study aimed to ascertain the resource requirement for establishing an OR health-care facility and patient satisfaction with regard to the services being provided. Methods: A cross-sectional study was conducted in 2017 at an OR Outpatient Department (OPD) of AIIMS, New Delhi, at Jhajjar. Service delivery model adopted for health-care delivery was hub and spoke. Traditional method of costing was used for economic evaluation. Feedback pro forma of 400 patients who attended OPD services was analyzed to measure health service accessibility. Results: Capital expenditure to set up the facility was calculated to be approximately INR 17,57,49,074/- ($ 2,703,832) and operational cost per year was approximately INR 8,73,86,370/- ($ 1,344,406). Approximate per-patient cost for single OPD consultation was calculated to be INR 874 ($13.45) which included medicines and investigations. High scores for all domains of accessibility of health care were observed. Conclusion: The study provides a preliminary evidence that OR health-care facilities can be instrumental in increasing access to health-care delivery with lesser capital outlays, however, large-scale multicentric studies are needed to arrive at any conclusion. The services have been very well accepted by the local community members being quality medical care with highly subsidized health-care services.
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    A meta-analysis of industry 4.0 design principles applied in the health sector
    (Eng. Appl. Artif. Intell., 2021) Amrita Sisodia; Rajni Jindal
    The approach of health 4.0 is driven out from the well-known industry 4.0. The goal of industry 4.0 is to bring a revolution in the manufacturing sector by digitization. The future of health management will become timelier and more personalized as new technologies will empower individuals to conduct their health monitoring by using cyber-physical systems. The design principles of industry 4.0 connect the physical and virtual world in real-time. Virtualization in health happens after the emergence of Information and Communication Technologies (ICT). For this 5G, the next-generation mobile network provides ambient intelligence for orchestration of medical services so that government and private companies can reconsider health prospects. These technological developments in healthcare, big data and industry 4.0 are individually attracting the huge attention of academics and industries. However, a detailed study of big data and industry 4.0 together concerning healthcare is still not present in the existing literature. The main contribution of this article is to present a meta-analytic approach to interpret, integrate and critically investigate the findings of original articles. This study expounds a novel approach for achieving effectual and comparable results related to the explained research problems. The results summarize about the standards used in main research directions, and existing deficiencies present in this area. The findings of this systematic literature review (SLR) can be helpful as future guidelines to researchers and practitioners working in the area of health 4.0 and related topics.
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    A cluster randomized controlled trial of an electronic decision-support system to enhance antenatal care services in pregnancy at primary healthcare level in Telangana, India: trial protocol
    (BMC Pregnancy Childbirth, 2023) Sailesh Mohan; Monica Chaudhry; Ona McCarthy; Prashant Jarhyan; Clara Calvert; Devraj Jindal; Rajani Shakya; Emma Radovich; Dimple Kondal; Loveday Penn-Kekana; Kalpana Basany; Ambuj Roy; Nikhil Tandon; Abha Shrestha; Abha Shrestha; Biraj Karmacharya; John Cairns; Pablo Perel; Oona M. R. Campbell; Dorairaj Prabhakaran
    Background India contributes 15% of the total global maternal mortality burden. Lessons learned from this trial will also inform recommendations for designing and upscaling similar mHealth interventions in other low and middle-income countries.
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    Maternal health in underserved tribal India
    (Sexual and Reproductive Health Matter, 2019) Amit Sengupta
    The paper brings the experience of implementing a behaviour change intervention to improve the use of maternity services in a rural tribal area in India in a population of 80,000 over five years between 2012 and 2017.
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    Access and barriers to maternal health program: a community perspective in a tribal area of Odisha, India
    (Asia Pac. J. Soc. Work Dev., 2023) Ranjit Kumar Dehury
    The janani surakhya yojana (JSY), a flagship programme of the national health mission (NHM), was implemented to reduce maternal and neonatal mortality by promoting institutional delivery among marginalised pregnant women in India. This study provides an account of the challenges faced by tribal pregnant women in accessing reproductive health care services. Primary data was collected from various maternal health stakeholders and expectant mothers using qualitative methods. The study adopted data collection methods like focus group discussions (FGDs) and in-depth interviews regarding the programme implementation of JSY at Jaleswar. Secondary data were analysed to understand the effectiveness of government policy in improving maternal health. The study indicates that despite an elaborate programme of action, there is low community perception and trust in bio-medical (mostly) procedures among the tribal population. The government programmes rarely compliment the tribal cultural construction of pregnancy and child birthing with existing medical and professional discourse.